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that unlike talking about cancer and diabetes and heart disease, when we talk about mental illness, we are talking about illnesses that began early in life. these are in fact chronic disorders of young people, and it requires a different mindset when you think about how you detect, intervene, make sure that you can make a difference. that is one of the reasons these disorders have the highest disability rating or the highest morbidity overall -- because they start early and tend to be chronic. we know these are treatable disorders, but there is a significant delay in getting treatment, and even those young people who have these most severe illnesses like schizophrenia -- on average, the delay between the onset of symptoms and when they get diagnosed and treated is somewhere between one or two years, which seems extraordinary because you are talking about a sentence that seem disabling and obvious. it is especially unfortunate because we've learned that the secret to having the best outcomes is early detection and early intervention. that is what biomedical research has taught us. you h
that goes out to the farms. we have a 50-year-old farmer who has a history in his family of diabetes. he comes in and does not know that they can get care at a community health care. a lot of it is out of reach and enrollment into understanding both the cultural issues as well as being able to get them into care. >> let me switch gears and touch upon another very important issue in terms of how we determine reimbursement rates for physicians. that is the rock, which is not a household word through america, an organization that plays an important role in determining how specialists -- how much primary-care physicians will make. we have an organization that is top heavy with people in specialties. is this an important issue? >> when we talk globally about the idea of inequity, how do we get a handle on it? medicare is the largest single care and historically many cares key off medicare, managing the conundrum around the pay gap would be central to reforming the whole system. it is well wired in the sense that it has been this way for a long time. there are a variety of approaches to it. yo
for diabetics who take their medication. -- is waving copays for diabetics who take their medication. i want to get to two points. employers are very interested in the delivery system. what i have talked about is the employer benefit design the savvy the employee. -- benefit designed visa-a-vis the employee. the same principles apply about those market forces. it is a big move to show the kind of prices you see. this was derived by a group calling doctors' offices and calling the different providers of the services -- you see this gigantic variation in price for something as simple as a sore throat. i show this because i know we are not going to save the system by shocking people by sore throats, and i'm showing it because nobody knew it existed. we put in a high lease -- we put in a plan when i was an electorate and an engineer called me. he said, i might or might not like the high deductible plan. but you cannot put one of those in and show this kind of price difference. i could not find it from your team, i had to call all of these doctors' offices to find out the price. therein is issue
. it is cancelling for pre diabetics. 10 groups of 10 people -- the really cool thing is a lot of the people not only will lose weight but they want to be prominent counselors. so we are solving unemployment. >> ester mentions the quantified self movement. these are consumer devices track heart rate and motion today, would soon a cardiologists will be able to track a heart patient. the patient will have a dashboard, may have lower insurance premiums. we do not want to let health- care technology to get in the way. you can start to enable the patient-doctor relationship. we do not want to see the same doctor with the same number two pencil form for patients. i can have a more focused visit and maybe some telemedicine follow up. >> we have a limited amount of time, so one last question before we take questions from the audience. it is increasingly important not just about what you can buy at your corner store, also devices that work with a stream of information about your health condition. how do you see that debate evolving? who should have that did and why don't patients have it now? >> you as an ind
-old firmer with a family history of diabetes who has never seen a doctor. actually did not know they could get a sliding fee discount because of their income. i think a lot is outreach and enrollment, understanding cultural issues as well as being able to get them into care. >> let me switch and touch on another very important issue, in terms of how we determine reimbursement rates for physicians. and that is he the [indiscernible] it is an organization which plays an enormously important role in determining how much specialists will make and how much primary care physicians will make. apparently, we have an organization which is kind of top-heavy with people in the specialties, and weak in terms of representing primary care physicians. is this an important issue? >> a key issue -- when we talk globally about the idea of pay inequity, how do we get a handle on it? since medicare is the largest single payer, and historically many private careers key of medicare in a variety of ways, managing the medicare conundrum around the pay gap would be central to reforming the system. at the center of
and diabetes -- who does that effect? we understand clearly that our caucus is not always on outside. they get so caught up in all of the middle class of this and that -- let me say that the congressional black caucus just had its retreat today. we said, we are not going to go for raising the age of medicare. we're not going for putting social security on the table. we know that just increases the poverty in this country. >> since you went there, and i want to be transparent and always authentic in these conversations to make progress -- you are the new chair of the congressional black caucus, stuff that you now and saying stuff -- you have seen as reported everywhere. the first black president, barack obama, and the congressional black caucus had an interesting dance you or do and in the first term. you can read about it at a variety of sources -- there was some tension between the white house and the congressional black caucus. you all decided you were going to go out anyway and create your own jobs. he went around the country and set up these jobs ferris. the tension between the white house
. whether it's diabetes, alzheimer's, parkinson's, if we came up with a cure for these types of diseases, think about where we'd be then and where we could put additional resources into the vital areas our goth needs to fund. i am optimistic, mr. speaker, i'm optimist exthat our best days are ahead and i also know people are fed up with the idea of partisanship and i fear we're going further partisan that we're anchoring to the extremes as opposed to coming to the center. my hope is that this body can focus more on what we agree on as opposed to what we disagree on. that's what the american public is looking for. that's what i hope this congress can flish in the 113th and beyond. i want to take this last moment to thank so many of my colleagues on both sides of the aisle for their friendship, for their support, and i certainly look forward to continuing the friendship in future years. thank you and i yield back. . the speaker pro tempore: the gentleman's time has expired. the chair recognizes the gentlewoman from new york, mrs. lowey, for 2 1/2 minutes. mrs. lowey: mr. speaker, the repub
. black and hispanics lost more. modern health scourges like obesity and diabetes have hit all of america heart, but african-americans harder. our china like rates of incarceration are slowly being desperate getting to trouble the consciousness of the opinion making class. i have been a reality for the life of black families where every son or father will be behind bars according to a system--statistics. we will talk frankly about questions of race. where is america now a century and a half after lincoln signed that emancipation proclamation question mark have we progressed as much as we like to think? what disparities do people of color still face? what might president obama compass in his second term to narrow these disparities? in an age of mass dollar ability, --downward mobility, policies help minorities? i urge you to take a look at wa douglas blackmon is chair of the miller center for them at the university of virginia and eight correspondent at "the washington post." his book, "slavery by another name: the re-enslavement of black americans from the civil war t
Search Results 0 to 8 of about 9 (some duplicates have been removed)